Search Results: 736 vacancies
$47k - $58k
...maximizing revenue for the company. This team interacts with health insurers to secure coverage and reimbursement for our patients. The Appeals Specialist is expected to understand all aspects of the insurance appeal process and can identify insurance trends and provide...
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Remote job
Flexible hours
Monday to Friday
...Job Summary:
The Clinical Appeals Nurse is responsible for the completion of clinical appeals and state hearings from all states.
Essential Functions:
Responsible for the completion of clinical appeals and state hearings from all states
Review and complete...
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Remote job
Full time
...OVERVIEW:
This job is responsible for all aspects of clinical appeal activities to include but not limited to, clinical record... ...QUALIFICATIONS:
Minimum
High School/GED
3 years in Nursing
RN License - PA
Proficiency in Microsoft Office (Word, Excel...
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Full time
Local area
...Job Title: Appeals Specialist
Typical Schedule/Shift: Monday - Friday, 7:30 AM - 4 PM or 8 AM - 4:30 PM
Summary:
As an Appeals Specialist, you play a critical role in reviewing and resolving member and provider complaints. Your responsibility includes ensuring...
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Shift work
Monday to Friday
About The Role
If you have knowledge of the NHS Continuing Healthcare National Framework and the appeals process, then we’d love to hear from you.
As an NHS Continuing Healthcare Volunteer, you’ll use your knowledge of the framework to support people affected by dementia...
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...clearing barriers to payment
Manage claim details and verify accurate reimbursement, so as to initiate account adjustments and/or appeals on payment disputes
File appeals for denied claims and follow-up as necessary through appeal resolution
Manage and maintain...
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Full time
...Job Summary:
The Team Lead, Grievance and Appeal Vendor Oversight is the primary contact person for vendors that are utilized with the Grievance and Appeal workflows. Responsibilities include invoice management and reconciliation, ensuring the vendor has the appropriate...
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Full time
Contract work
For contractors
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...Remote Licensed Psychiatric Nurse Practitioner
Wage: Between $148-$269 an hour
Are you a licensed Psychiatric Nurse looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance!
Headway supports thousands...
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Permanent employment
Full time
Private practice
Remote job
Flexible hours
Compliance Nurse Manager Location Remote in Nashville, TN : Introduction Are you passionate about the patient experience? At HCA Healthcare... ...feedback regarding opportunities to improve clinical review and appeals processes.
Contact appropriate parties (internal and external...
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Full time
Contract work
Temporary work
Part time
Local area
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Job Description The School of Nursing seeks an adjunct faculty member to deliver high quality learning experiences and education for students in the Graduate Nursing PMHNP program. The selected candidate will be responsible for the remote clinical supervision of graduate...
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Work experience placement
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...particular needs of an individual patient.
Job Summary
The Nurse, Individualized Care promotes high-quality patient care and... ...B, C, D)
~1-2 years of experience with Prior Authorization and Appeal submissions
~ Must be able to manage multiple concurrent assignments...
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Remote job
Hourly pay
Full time
Temporary work
Local area
Flexible hours
Monday to Friday
...Registered Nurse Audit Full Time Days Remote
Why UT Southwestern? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT... ...performing utilization review, charge audit, case management or denial/appeal functions in an acute care hospital.
Principles of Managed...
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Full time
Remote job
...experience, aiming to improve health outcomes for the 100M+ members in value-based care.
About the Role:
We are looking for a Nurse Practitioner to join our Clinical team. The Nurse Practitioner will conduct Health Risk Assessments for Medicare, Medicaid, and...
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Remote job
Contract work
Part time
For contractors
Immediate start
Flexible hours
Job Description:
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing...
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Immediate start
...Job Description
Job Description We are seeking a Nurse Practitioner to become a part of our team! You will focus on providing high quality patient care as part of a healthcare team. Seeking Adult or Family Nurse Practitioners who are licensed in multiple states to...
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Remote job
Contract work
Afternoon shift
...Description
Job Description About the Position:
The RN will work with an interdisciplinary team to deliver patient-centered nursing and rehabilitation services to our clients in Residential Treatment and in our Partial Hospitalization program. Maintain excellent...
Remote job
Full time
Shift work
$1,786 per week
...Job Description
We are seeking a Registered Nurse for an assignment in Remote Arizona.
A Registered Nurse (RN) primarily cares for patients by monitoring them, administering medications, consulting with health care providers, updating patient records and educating...
Remote job
...The PAC Nurse is a telephonic position responsible for managing the length of stay (LOS) for Long Term Acute Hospital (LTACH), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for their assigned post-acute care facilities through collaboration...
Full time
Remote job
Weekend work
...Signallamp Health is growing rapidly and actively looking for motivated triage nurses to work with us!
Signallamp has reinvented remote Nurse Triage – for our patients and our nurses - by staying connected with patients every month and bridging gaps in care between...
Remote job
Hourly pay
Holiday work
Full time
Temporary work
Christmas work
Flexible hours
...Remote
CorVel is seeking a Quality Assurance Nurse with experience in worker's compensation to conduct utilization review and case management quality assurance audits.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Develop, implement and provide ongoing quality assurance...
Minimum wage
Full time
Local area
Remote job
Flexible hours
